This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mackinnon, D. P. Articles by Dwyer, J. H. Search for Related Content PubMed Articles by Mackinnon, D. P. Articles by Dwyer, J. H. Social Bookmarking                   What's this?

Estimating Mediated Effects in Prevention Studies

Arizona State University

James H. Dwyer

University of Southern California

The purpose of this article is to describe statistical procedures to assess how prevention and intervention programs achieve their effects. The analyses require the measurement of intervening or mediating variables hypothesized to represent the causal mechanism by which the prevention program achieves its effects. Methods to estimate mediation are illustrated in the evaluation of a health promotion program designed to reduce dietary cholesterol and a school-based drug prevention program. The methods are relatively easy to apply and the information gained from such analyses should add to our understanding of prevention.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A. Buhler, E. Schroder, and R. K. Silbereisen The role of life skills promotion in substance abuse prevention: a mediation analysis Health Educ. Res., August 1, 2008; 23(4): 621 - 632. [Abstract] [Full Text] [PDF]

				B. L. Lam, S. L. Christ, D. J. Lee, D. D. Zheng, and K. L. Arheart Reported Visual Impairment and Risk of Suicide: The 1986-1996 National Health Interview Surveys Arch Ophthalmol, July 1, 2008; 126(7): 975 - 980. [Abstract] [Full Text] [PDF]

				A. B. Taylor, D. P. MacKinnon, and J.-Y. Tein Tests of the Three-Path Mediated Effect Organizational Research Methods, April 1, 2008; 11(2): 241 - 269. [Abstract] [PDF]

				G. W. Cheung and R. S. Lau Testing Mediation and Suppression Effects of Latent Variables: Bootstrapping With Structural Equation Models Organizational Research Methods, April 1, 2008; 11(2): 296 - 325. [Abstract] [PDF]

				J. E. Mathieu, R. P. DeShon, and D. D. Bergh Mediational Inferences in Organizational Research: Then, Now, and Beyond Organizational Research Methods, April 1, 2008; 11(2): 203 - 223. [Abstract] [PDF]

				J. Son, A. Erno, D. G. Shea, E. E. Femia, S. H. Zarit, and M. A. Parris Stephens The Caregiver Stress Process and Health Outcomes J Aging Health, December 1, 2007; 19(6): 871 - 887. [Abstract] [PDF]

				T. Lewis, R. Leeb, J. Kotch, J. Smith, R. Thompson, M. M. Black, M. Pelaez-Merrick, E. Briggs, and T. Coyne-Beasley Maltreatment History and Weapon Carrying Among Early Adolescents Child Maltreat, August 1, 2007; 12(3): 259 - 268. [Abstract] [PDF]

				A. L. Thompson, B. S.G. Molina, W. Pelham Jr, and E. M. Gnagy Risky Driving in Adolescents and Young Adults with Childhood ADHD J. Pediatr. Psychol., August 1, 2007; 32(7): 745 - 759. [Abstract] [Full Text] [PDF]

				Yuri Jang, E. Bergman, L. Schonfeld, and V. Molinari The Mediating Role of Health Perceptions in the Relation Between Physical and Mental Health: A Study of Older Residents in Assisted Living Facilities J Aging Health, June 1, 2007; 19(3): 439 - 452. [Abstract] [PDF]

				W. B. Hansen, L. Dusenbury, D. Bishop, and J. H. Derzon Substance abuse prevention program content: systematizing the classification of what programs target for change Health Educ. Res., June 1, 2007; 22(3): 351 - 360. [Abstract] [Full Text] [PDF]

				V. A. Foshee, S. T. Ennett, K. E. Bauman, D. A. Granger, T. Benefield, C. Suchindran, A. M. Hussong, K. J. Karriker-Jaffe, and R. H. DuRant A Test of Biosocial Models of Adolescent Cigarette and Alcohol Involvement The Journal of Early Adolescence, February 1, 2007; 27(1): 4 - 39. [Abstract] [PDF]

				A. L. Dunn, K. Resnicow, and L. M. Klesges Improving measurement methods for behavior change interventions: opportunities for innovation Health Educ. Res., December 1, 2006; 21(suppl_1): i121 - i124. [Full Text] [PDF]

				C. DiIorio, F. McCarty, and P. Denzmore An Exploration of Social Cognitive Theory Mediators of Father-Son Communication About Sex J. Pediatr. Psychol., October 1, 2006; 31(9): 917 - 927. [Abstract] [Full Text] [PDF]

				M. H. Stigler, K. Kugler, K. Komro, M. Leshabari, and K. Klepp AIDS education for Tanzanian youth: a mediation analysis Health Educ. Res., August 1, 2006; 21(4): 441 - 451. [Abstract] [Full Text] [PDF]

				K. D. Reynolds and D. Spruijt-Metz Translational research in childhood obesity prevention. Eval Health Prof, June 1, 2006; 29(2): 219 - 245. [Abstract] [PDF]

				M. Barrera Jr, D. J. Toobert, K. L. Angell, R. E. Glasgow, and D. P. MacKinnon Social Support and Social-ecological Resources as Mediators of Lifestyle Intervention Effects for Type 2 Diabetes. J Health Psychol, May 1, 2006; 11(3): 483 - 495. [Abstract] [PDF]

				B. T. Mausbach, K. Aschbacher, T. L. Patterson, S. Ancoli-Israel, R. von Kanel, P. J. Mills, J. E. Dimsdale, and I. Grant Avoidant Coping Partially Mediates the Relationship Between Patient Problem Behaviors and Depressive Symptoms in Spousal Alzheimer Caregivers Am J Geriatr Psychiatry, April 1, 2006; 14(4): 299 - 306. [Abstract] [Full Text] [PDF]

				M. Bower-Russa Attitudes Mediate the Association Between Childhood Disciplinary History and Disciplinary Responses Child Maltreat, August 1, 2005; 10(3): 272 - 282. [Abstract] [PDF]

				R. M. Carney, J. A. Blumenthal, K. E. Freedland, P. K. Stein, W. B. Howells, L. F. Berkman, L. L. Watkins, S. M. Czajkowski, J. Hayano, P. P. Domitrovich, et al. Low Heart Rate Variability and the Effect of Depression on Post-Myocardial Infarction Mortality Arch Intern Med, July 11, 2005; 165(13): 1486 - 1491. [Abstract] [Full Text] [PDF]

				B. S. G. Molina, M. P. Marshal, W. E. Pelham Jr., and R. J. Wirth Coping Skills and Parent Support Mediate the Association Between Childhood Attention-Deficit/Hyperactivity Disorder and Adolescent Cigarette Use J. Pediatr. Psychol., June 1, 2005; 30(4): 345 - 357. [Abstract] [Full Text] [PDF]

				B. Simons-Morton, D. Haynie, K. Saylor, A. D. Crump, and R. Chen Impact Analysis and Mediation of Outcomes: The Going Places Program Health Educ Behav, April 1, 2005; 32(2): 227 - 241. [Abstract] [PDF]

				N. Paulsen, V. J. Callan, T. A. Grice, D. Rooney, C. Gallois, E. Jones, N. L. Jimmieson, and P. Bordia Job uncertainty and personal control during downsizing: A comparison of survivors and victims Human Relations, April 1, 2005; 58(4): 463 - 496. [Abstract] [PDF]

				L. L. Roff, L. D. Burgio, L. Gitlin, L. Nichols, W. Chaplin, and J. M. Hardin Positive Aspects of Alzheimer's Caregiving: The Role of Race J. Gerontol. B. Psychol. Sci. Soc. Sci., July 1, 2004; 59(4): P185 - P190. [Abstract] [Full Text] [PDF]

				R. B. McNeal Jr., W. B. Hansen, N. G. Harrington, and S. M. Giles How all Stars Works: An Examination of Program Effects on Mediating Variables Health Educ Behav, April 1, 2004; 31(2): 165 - 178. [Abstract] [PDF]

				O. Mammen, D. Kolko, and P. Pilkonis Parental Cognitions and Satisfaction: Relationship to Aggressive Parental Behavior in Child Physical Abuse Child Maltreat, November 1, 2003; 8(4): 288 - 301. [Abstract] [PDF]

				G. N. Holmbeck Post-hoc Probing of Significant Moderational and Mediational Effects in Studies of Pediatric Populations J. Pediatr. Psychol., January 1, 2002; 27(1): 87 - 96. [Abstract] [Full Text] [PDF]

				K. A. Komro, C. L. Perry, C. L. Williams, M. H. Stigler, K. Farbakhsh, and S. Veblen-Mortenson How did Project Northland reduce alcohol use among young adolescents? Analysis of mediating variables Health Educ. Res., February 1, 2001; 16(1): 59 - 70. [Abstract] [Full Text] [PDF]

				T. A. Nicklas and C. E. O'Neil Process of Conducting a 5-a-Day Intervention with High School Students: Gimme 5 (Louisiana) Health Educ Behav, April 1, 2000; 27(2): 201 - 212. [Abstract] [PDF]

				A. R. Kristal, K. Glanz, B. C. Tilley, and S. Li Mediating Factors in Dietary Change: Understanding the Impact of a Worksite Nutrition Intervention Health Educ Behav, February 1, 2000; 27(1): 112 - 125. [Abstract] [PDF]

				W. B. Hansen and R. B. McNeal Jr Drug education practice: results of an observational study Health Educ. Res., February 1, 1999; 14(1): 85 - 97. [Abstract] [Full Text] [PDF]

				K. A. Ocampo, G. P. Knight, and M. E. Bernal The Development of Cognitive Abilities and Social Identities in Children: The Case of Ethnic Identity International Journal of Behavioral Development, October 1, 1997; 21(3): 479 - 500. [Abstract] [PDF]

				W. B. Hansen and R. B. McNeal Jr. How D.A.R.E. Works: An Examination of Program Effects on Mediating Variables Health Educ Behav, April 1, 1997; 24(2): 165 - 176. [Abstract] [PDF]

				S. I. DONALDSON, S. SUSSMAN, D. P. MacKINNON, H. H. SEVERSON, T. GLYNN, D. M. MURRAY, and E. J. STONE Drug Abuse Prevention Programming: Do We Know What Content Works? American Behavioral Scientist, June 1, 1996; 39(7): 868 - 883. [Abstract]

				S. A. McGraw, D. E. Sellers, C. C. Johnson, E. J. Stone, K. J. Bachman, J. Bebchuk, R. V. Luepker, and E. W. Edmundson Using Process Data To Explain Outcomes: An Illustration From the Child and Adolescent Trial for Cardiovascular Health (CATCH) Eval Rev, June 1, 1996; 20(3): 291 - 312. [Abstract] [PDF]

				R. I. Steim and C. J. Nemeroff Moral Overtones of Food: Judgments of Others Based on What they Eat Pers Soc Psychol Bull, May 1, 1995; 21(5): 480 - 490. [Abstract]